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Psychiatric comorbidity and gender difference among treatment‐seeking heroin abusers in Taiwan
Author(s) -
CHIANG SHUCHUAN,
CHAN HUNGYU,
CHANG YUANYING,
SUN HSIAOJU,
CHEN WEI J.,
CHEN CHIHKEN
Publication year - 2007
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.2007.01618.x
Subject(s) - psychiatry , comorbidity , heroin , psychiatric comorbidity , substance abuse , psychology , clinical psychology , antisocial personality disorder , addiction , incidence (geometry) , medicine , poison control , injury prevention , drug , medical emergency , physics , optics
The objectives of the present study were to estimate the psychiatric comorbidity of Taiwanese heroin users seeking treatment and to identify the gender differences in psychiatric comorbidity and drug use behavior. Subjects were interviewed using a structured questionnaire on drug use behavior and the Mini International Neuropsychiatric Interview for psychiatric disorders. Of the subjects, 58.5% of the male and 62.5% of the female subjects had at least one non‐substance‐use axis I psychiatric disorder or antisocial personality disorder. Compared to male subjects, female subjects were younger, were less educated, had higher rates of unemployment and had earlier onset of illicit drug use. Female subjects were 11‐fold more likely than male subjects to exhibit suicidal behavior. Among heroin abusers in the present study, female subjects were more widely exposed to unfavorable social factors and had substantially higher incidence of suicidal behavior than male subjects. Drug treatment centers should be aware of these gender differences and pay particular attention to comorbid depressive disorders and suicidal behavior of female heroin abusers.